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MTA和CEM骨水泥联合胶原膜治疗Ⅱ度根分叉病变的疗效

Efficacy of MTA and CEM Cement with Collagen Membranes for Treatment of Class II Furcation Defects.

作者信息

Ghanbari Habib Ollah, Taheri Morteza, Abolfazli Salman, Asgary Saeed, Gharechahi Maryam

机构信息

Associate Professor, Department of Periodontics, Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

Assistant Professor, Department of Periodontics, Dental Research Center, School of Dentistry, Ahvaz University of Medical Sciences, Ahvaz, Iran.

出版信息

J Dent (Tehran). 2014 May;11(3):343-54. Epub 2014 May 31.

Abstract

OBJECTIVES

This study aimed to compare the efficacy of MTA and CEM cement in Class II furcation defects in human mandibular molars.

MATERIALS AND METHODS

Forty furcation defects were treated in 16 patients with chronic periodontitis. The clinical parameters of probing depth (PD), vertical and horizontal clinical attachment levels (VCAL and HCAL), open vertical and horizontal furcation depths (OVFD and OHFD), and gingival margin level (GML) were measured at baseline and at 3- and 6-month (re-entry surgery) postoperatively. Data were analyzed at a significance level of P<0.05.

RESULTS

Use of MTA and CEM caused significant decreases in PD, VCAL, HCAL, OVFD and OHFD at re-entry, with no statistically significant differences between the two treatment options in soft and hard tissue parameters.

CONCLUSION

Both treatment modalities caused significant gains in attachment levels and bone fills, proving efficacy for treatment of Class II furcation involvements.

摘要

目的

本研究旨在比较MTA和CEM骨水泥治疗人类下颌磨牙Ⅱ度根分叉病变的疗效。

材料与方法

对16例慢性牙周炎患者的40处根分叉病变进行治疗。在基线以及术后3个月和6个月(再次手术时)测量探诊深度(PD)、垂直和水平临床附着水平(VCAL和HCAL)、垂直和水平根分叉开放深度(OVFD和OHFD)以及牙龈边缘水平(GML)等临床参数。数据在P<0.05的显著性水平上进行分析。

结果

再次手术时,使用MTA和CEM骨水泥均使PD、VCAL、HCAL、OVFD和OHFD显著降低,两种治疗方法在软组织和硬组织参数方面无统计学显著差异。

结论

两种治疗方式均使附着水平和骨填充有显著改善,证明对Ⅱ度根分叉病变的治疗有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/848b/4290763/df7da6f136f2/jod-11-343f1.jpg

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